Syntactic predictions and asyntactic comprehension in aphasia: Evidence from scope relations

People with aphasia (PWA) often fail to understand syntactically complex sentences. This phenomenon has been described as asyntactic comprehension and has been explored in various studies cross-linguistically in the past decades. However, until now there has been no consensus among researchers as to the nature of sentence comprehension failures in aphasia. Impaired representations accounts ascribe comprehension deficits to loss of syntactic knowledge, whereas processing/resource reduction accounts assume that PWA are unable to use syntactic knowledge in comprehension due to resource limitation resulting from the brain damage. The aim of this paper is to use independently motivated psycholinguistic models of sentence processing to test a variant of the processing/resource reduction accounts that we dub the Complexity Threshold Hypothesis. According to this hypothesis, PWA are capable of building well-formed syntactic representations, but, because their resources for language processing are limited, their syntactic parser fails when processing complexity exceeds a certain threshold. The source of complexity investigated in the experiments reported in this paper is syntactic prediction. We conducted two experiments involving comprehension of sentences with different types of syntactic dependencies, namely dependencies that do not require syntactic prediction (i.e. unpredictable dependencies in sentences that require Quantifier Raising) and dependencies whose resolution requires syntactic predictions at an early stage of processing based on syntactic cues (i.e. predictable dependencies in movement-derived sentences). In line with the predictions of the Complexity Threshold Hypothesis, the results show that the agrammatic patients that participated in this study had no difficulties comprehending sentences with the former type of dependencies, whereas their comprehension of sentences with the latter type of dependencies was impaired

Exploring views on satisfaction with life in young children with chronic illness: an innovative approach to the collection of self-report data from children under 11

The objective of this study was to explore young children’s views on the impact of chronic illness on their life in order to inform future development of a patient-based self-report health outcome measure. We describe an approach to facilitating self-report views from young children with chronic illness. A board game was designed in order to obtain qualitative data from 39 children with a range of chronic illness conditions and 38 healthy controls ranging in age from 3 to 11 years. The format was effective in engaging young children in a self-report process of determining satisfaction with life and identified nine domains. The board game enabled children aged 5–11 years with chronic illness to describe the effects of living with illness on home, family, friends, school and life in general. It generated direct, non-interpreted material from children who, because of their age, may have been considered unable or limited their ability to discuss and describe how they feel. Obtaining this information for children aged 4 and under continues to be a challenge

Predicting young adult social functioning from developmental trajectories of externalizing behavior

Background. The long-term consequences of child and adolescent externalizing problems often involve a wide spectrum of social maladaptation in adult life. The purpose of this study was to describe the predictive link of child and adolescent externalizing developmental trajectories to social functioning in adulthood. Method. Social functioning was predicted from developmental trajectories of parent-reported aggression, opposition, property violations and status violations that were defined in a longitudinal multiple birth cohort study of 2076 males and females aged 4-18 years. Social functioning was assessed using self-reports by young adults aged 18-30 years. Linear and logistic regression analyses were used to describe the extent to which developmental trajectories are prospectively related to social functioning. Results. Children with high-level trajectories of opposition and status violations reported more impaired social functioning as young adults than children with high-level trajectories of aggression and property violations. Young adults who showed onset of problems in adolescence reported overall less impaired social functioning than individuals with high-level externalizing problems starting in childhood. Overall, males reported more impaired social functioning in adulthood than females. However, females with persistent high-level externalizing behaviour reported more impairment in relationships than males with persistent high-level externalizing behaviour. Conclusion. The long-term consequences of high levels of opposition and status violations in childhood to serious social problems during adulthood are much stronger than for individuals who show only high levels of aggressive antisocial behaviours. Copyright © 2007 Cambridge University Press

Smart shops: a survey of products, claimed effects and medical-toxicological relevance

During the last few years the use of herbal drugs of abuse, so-called 'smart products' and eco-drugs has increased. Many of these products have psychoactive effects. The variety of smart products sold in the so-called smart shops is enormous and this is still a growing market. The increased availability of these products and the continuing appearance of new products on the market, has led to increased awareness of the possible negative health aspects associated with the use of these products. At present, the Dutch Inspectorate for Health Protection, Commodities and Veterinary Public Health is testing the activities of these smart shops and the products for adherence to the regulations. This document, prepared by the National Poisons Control Centre (NVIC) of the National Institute of Public Health and the Environment (RIVM), serves as a practical aid to the Inspectorate in evaluating the various smart products. Four important groups of smart products can be discerned: the energizers, relaxing herbs, aphrodisiacs and products with hallucinogenic properties. For each of these groups the following items are described: the various product appearances, usage, the (desired) effects of the product according to smart shop information brochures, a description of the original plants (most of these products are derived from plants), the active ingredients in the product, and to the best of our knowledge, the pharmacology and medical toxicology of these ingredients and products. Further monitoring of the use of these smart products and the health effects they cause, should make clear to which specific group of smart products most attention should be paid from a medical point of view.Het gebruik van zogenaamde smartproducts en eco-drugs neemt de laatste jaren steeds meer toe. Het aanbod van producten die in de smartshops worden verkocht is zeer divers. Veel van de aangeboden middelen hebben psychoactieve effecten. Bovendien is het een uiterst dynamische markt, waar regelmatig nieuwe producten ontwikkeld en verkocht worden. Door deze groeiende markt wordt ook van overheidswege aandacht besteed aan de gezondheids- en maatschappelijke risico's van het gebruik en de verkoop van deze middelen. In het huidige beleid ten aanzien van deze middelen ligt de nadruk op gezondheidsbescherming met behulp van voorlichting, monitoring en onderzoek. In dit kader toetst in 1999 de Inspectie Gezondheidsbescherming, Waren en Veterinaire Zaken de activiteiten van smartshops en andere verkooppunten, alsmede de verhandelde waar, aan de warenwettelijke kaders. Zonodig wordt nieuwe jurisprudentie opgebouwd. Dit rapport, geschreven op verzoek van en in samenwerking met de Inspectie Gezondheidsbescherming, Waren en Veterinaire Zaken dient de Inspectie tot een praktisch hulpmiddel bij het evalueren van de vele verschillende producten die op de markt aanwezig zijn. Op grond van het belangrijkste beoogde effect dat deze middelen na gebruik zouden verschaffen, zijn de producten ingedeeld in een van de vier te onderscheiden functionele groepen, te weten de "energizers", "relaxing herbs", "afrodisiaca" en "hallucinogene producten". Per product(-groep) worden besproken: de verschillende productvoorkomens en wijze van gebruik, het in de smartshop gepropageerde doel van gebruik, de plantaardige herkomst van het product, en de samenstellende verbindingen met voor zover bekend hun farmacologische werkingsmechanismen en toxiciteit. Daarbij is gebruik gemaakt van de humaan medisch-toxicologische kennis zoals die op dit moment voorhanden is. Verdere monitoring naar de effecten van het gebruik zal inzichtelijk moeten maken naar welke productgroepen vanuit medisch oogpunt in de toekomst de meeste aandacht zal moeten uitgaan

Book review: An Essay on Grammar-Parser Relations (J. van de Koot)

Review of this book, that is the author's Thesis Dissertation

Variants in MARC1 and HSD17B13 reduce severity of NAFLD in children, perturb phospholipid metabolism, and suppress fibrotic pathways

Background & aims: Genome-wide association studies in adults have identified variants in HSD17B13 and MARC1 as protective against NAFLD. It is not known if they are similarly protective in children and, more generally, whether the peri-portal inflammation of pediatric NAFLD and lobular inflammation seen in adults share common genetic influences. Therefore, we aimed to: establish if these variants are associated with NAFLD in children, and to investigate the function of these variants in hepatic metabolism using metabolomics. Methods: 960 children (590 with NAFLD, 394 with liver histology) were genotyped for rs72613567T>TA in HSD17B13, rs2642438G>A in MARC1. Genotype-histology associations were tested using ordinal regression. Untargeted hepatic proteomics and plasma lipidomics were performed in a subset of samples. In silico tools were used to model the effect of rs2642438G>A (p.Ala165Thr) on MARC1. Results: rs72613567T>TA in HSD17B13 was associated with lower odds of NAFLD diagnosis (OR 0.7 (95%CI 0.6-0.9) and lower grade of portal inflammation (PA in MARC1 was associated with lower grade of hepatic steatosis (P=0.02). Proteomics found reduced expression of HSD17B13 in carriers of the protective allele, whereas MARC1 levels were not affected by genotype. Both variants showed downregulation of hepatic fibrotic pathways, upregulation of retinol metabolism and perturbation of phospholipid species. Modelling suggests that p.Ala165Thr would disrupt the stability and metal-binding of MARC1. Conclusions: There are shared genetic mechanisms between pediatric and adult NAFLD, despite their differences in histology. MARC1 and HSD17B13 are involved in phospholipid metabolism and suppress fibrosis in NAFLD

Diagnostic accuracy of large-core needle biopsy for nonpalpable breast disease: a meta-analysis

For the evaluation of non-palpable lesions of the breast, image-guided large-core needle biopsies are increasingly replacing needle-localized open breast biopsies. In this study, the diagnostic accuracy of this minimally invasive technique was evaluated by reviewing the available literature. Five cohort studies were included in a meta-analysis. Sensitivity rate, histological agreement between needle biopsy and subsequent surgery or long-term mammographic follow-up and clinical consequences for different disease prevalences were assessed. The sensitivity rate of large-core needle biopsy for the diagnosis of breast cancer was high (97%). The reclassified agreement rate between core biopsy and subsequent surgical biopsy or long-term mammographic follow-up was also high (94%). In case of 20% breast cancer prevalence among women referred after screening (as in the US), the risk of breast cancer despite benign large-core needle biopsy result is less than 1%. In European countries, however, prevalence of breast cancer among referred women is 60–70%. This would result in a risk of breast cancer despite benign large-core needle biopsy result of 4–6%. The results of this meta-analysis indicate that the image guided large-core needle biopsy is a promising alternative for the needle localized breast biopsy. However, additional research is needed to explore the limiting factors of the technique. Without such detailed knowledge, a benign histological diagnosis on large-core needle biopsy in countries with high prevalence of malignancy among referred women should be interpreted with caution. © 2000 Cancer Research Campaig